Equinox, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

207554 Issued in AK

Legal business name

EQUINOX, INC

Practice address

3677 College Rd
Suite 13
Fairbanks, AK 99709-3712

Phone

(907) 479-3800

Fax

(907) 479-9195

NPI assigned

Feb 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ruth Kristine Carson, P.T.NPI 1912082090

Title

Owner/ Physical Therapist

Phone

(907) 479-3800

Specialties & licenses 1

Addresses

Other identifiers 12

Other names 1

• Equinox Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruth Kristine Carson, P.T.

  • Physical Therapist
  • Fairbanks, AK
  • NPI 1912082090
  Medicare reassignment Care Compare group Authorized official
• Juliana B Ament, P.T.

  • Physical Therapist
  • North Pole, AK
  • NPI 1225016652
  Medicare reassignment Care Compare group
• Colin Emile Stafford Campbell, DPT

  • Physical Therapist
  • Fairbanks, AK
  • NPI 1669042958
  Medicare reassignment Care Compare group
• Kelsi Johnson, DPT

  • Physical Therapist
  • Fairbanks, AK
  • NPI 1306252036
  Medicare reassignment Care Compare group
• Daphne Cheryl Lyn Keeney, P.T.

  • Physical Therapist
  • Fairbanks, AK
  • NPI 1326122722
  Medicare reassignment Care Compare group
• Monica Lynn Olson, P.T.

  • Physical Therapist
  • Fairbanks, AK
  • NPI 1215013263
  Medicare reassignment Care Compare group
• Austin Jared Windsperger, DPT

  • Orthopedic Physical Therapist
  • Fairbanks, AK
  • NPI 1861282014
  Medicare reassignment Care Compare group
• Dominique Baskett, PT

  • Physical Therapist
  • Walnut Creek, CA
  • NPI 1659033637

  AK

  Medicare reassignment Care Compare group
• Denise Colette Jerome, P.T.

  • Physical Therapist
  • Bend, OR
  • NPI 1700961851
  NPD
• Annie M Albrecht, DPT

  • Physical Therapist
  • Juneau, AK
  • NPI 1447482328
  NPD (past)
• Cole Jaymes Carson, P.T.

  • Physical Therapist
  • Fairbanks, AK
  • NPI 1558582940
  NPD (past)
• Lindsay Marie Costello, MPT

  • Physical Therapist
  • Fairbanks, AK
  • NPI 1306090766
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1972643138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3677 COLLEGE RD",
            "address_2": "SUITE 13",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093712",
            "telephone_number": "907-479-3800",
            "fax_number": "907-479-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 COLLEGE RD",
            "address_2": "SUITE 13",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093712",
            "telephone_number": "907-479-3800",
            "fax_number": "907-479-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUINOX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "907-479-3800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AK",
            "license": "207554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDV NPI #",
            "identifier": "1700961851",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0306",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDV NPI #",
            "identifier": "1912082090",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # EQUINOX, INC",
            "identifier": "1972643138",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT1607",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDV#",
            "identifier": "1306090766",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT9414",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDV NPI #",
            "identifier": "1215013263",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDV NPI #",
            "identifier": "1326122722",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0665",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT1807",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN#",
            "identifier": "KOOOOWCPGC",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Equinox Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emmanel Assisted Living Home West, Inc.
• Samantha Englund, LMT
• Eric Enlow
• Kelsey Enochs
• Jayna Epranian
• Magdalena Christina Eras-Sawyer
• Dawn Erbeck, PHARMD
• Sasha Elizabeth Ericksen, M.D.
• Daesha N Erickson, D.D.S.
• Gina Y Escobar, MD

• Clinic/Center in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.